Physician
Jones, Brian
Jones, Brian was paid $309K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is S9083, Global fee urgent care centers — 40% of everything it billed.
33Billing provider infoJONES, BRIAN
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1063490944assigned 01/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$309K
24GClaims5,948
24DCodes billed9
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#233 of 2,756
Median peer was paid$19K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 54 | $2K | |
| 2021 | 849 | $31K | |
| 2022 | 1,476 | $54K | |
| 2023 | 2,585 | $96K | |
| 2024incomplete | 984 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 40% | 957 | 948 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,754 | 1,728 | $103K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 21% | 2,114 | 2,092 | $66K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 168 | 168 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.0% | 40 | 40 | $3K |
| 81003 | <1% | 45 | 44 | $117.10 | |
| 3078F | 0% | 369 | 369 | $0.00 | |
| 3074F | 0% | 473 | 473 | $0.00 | |
| 3079F | 0% | 28 | 28 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.